Evergreen Therapeutic, Pllc
NPI #1346840873 in Angier, North Carolina
Provider Information
- NPI Number
- 1346840873
- Entity Type
- Organization
- Organization Name
- Evergreen Therapeutic, Pllc
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 26, 2020
- Last Updated
- Oct 26, 2020
Practice Location
- Address
- 7427 OLD STAGE RD N
- City
- Angier
- State
- North Carolina
- ZIP Code
- 27501-7401
- Phone
- (919) 561-9663
Authorized Official
- Name
- ANNA BENGTSON BROADWELL, MA, MDIV, LCMHC
- Title
- THERAPIST
- Phone
- (919) 561-9663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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